Section R. 330.261 - Destination protocolsRule 11. Local MCAs shall develop and submit stroke patient destination protocols to the bureau of emergency preparedness, EMS, and systems of care for review by the statewide quality assurance task force appointed under section 20916 of the code, MCL 333.20916. After review and approval by the department, the MCA shall formally adopt and implement the protocol. The following factors must be used in evaluating destination protocols:
(a) An evidence-based validated stroke assessment tool.(b) Stroke patients shall not be transported to a healthcare facility that does not participate in the state stroke care system unless there is no other reasonable alternative available.(c) Stroke patients shall be transported to the closest appropriate stroke center as identified in regional and local medical control protocols.(d) If a level I, level II or level III stroke center is not within a reasonable distance from the incident scene, the stroke patient shall be transported to a level IV stroke center.(e) Each region shall make appropriate determinations for stroke patient destination based on what is best for the patient.(f) In areas of this state close to state borders, the most appropriate stroke center may be out of this state. If possible, transport stroke patients within state borders. Local protocols must address this issue.Mich. Admin. Code R. 330.261
2023 MR 21, Eff. 11/6/2023